- Benign lesions are usually treated by simple oophorectomy.
- Malignant lesions are usually treated by TAH, BSO, omentectomy, and periaortic node sampling.
- Borderline lesions are treated depending on age and desire for preserved fertility.
Hints for Freezing Ovaries:
INK the external surfaces of ALL ovaries, regardless of benign or malignant appearance.
|Gross Appearance||Most Likely Diagnosis||Approach to Freezing|
|Smooth-walled cyst with liquid or viscous contents||Serous or Mucinous cystadenoma||Representative wall|
|Cyst with thick bloody contents||Endometriosis||Representative wall|
|Cyst with hair, teeth, chalky material||Teratoma (dermoid cyst)||Representative wall, especially thickened or non-calcified solid areas (to look for immaturity)|
|Cyst with shaggy lining, papillary excrescences||“Borderline” tumor or carcinoma||Representative excrescences or solid area|
|Solid, cauliflower-like||Carcinoma||Representative viable, fleshy, solid area|
|Solid, fibrous||Fibroma / Thecoma||Representative section|
|Solid, fibrous with mucinous cysts||Brenner tumor||Representative junction between fibrous/cystic areas|
|Bilateral fibrous||Metastatic carcinoma (any primary)||Representative section|
|Bilateral mucinous||Metastatic carcinoma (GI primary)||Representative section|